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GENTIVA 401(K) PLAN 401k Plan overview

Plan NameGENTIVA 401(K) PLAN
Plan identification number 001

GENTIVA 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CURO HEALTH SERVICES, LLC has sponsored the creation of one or more 401k plans.

Company Name:CURO HEALTH SERVICES, LLC
Employer identification number (EIN):320307955
NAIC Classification:621610
NAIC Description:Home Health Care Services

Additional information about CURO HEALTH SERVICES, LLC

Jurisdiction of Incorporation: North Carolina Secretary of State
Incorporation Date:
Company Identification Number: 1300646

More information about CURO HEALTH SERVICES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GENTIVA 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012019-01-01
0012018-01-01
0012018-01-01
0012017-01-01RON MARINO RON MARINO2018-10-08
0012016-01-01RON MARINO RON MARINO2017-10-12
0012015-01-01RON MARINO RON MARINO2016-10-14
0012014-01-01RON MARINO RON MARINO2015-10-07
0012013-01-01RON MARINO RON MARINO2014-10-07
0012012-01-01RON MARINO RON MARINO2013-10-15
0012011-02-01RON MARINO

Plan Statistics for GENTIVA 401(K) PLAN

401k plan membership statisitcs for GENTIVA 401(K) PLAN

Measure Date Value
2022: GENTIVA 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0144,593
Total number of active participants reported on line 7a of the Form 55002022-01-0142,495
Number of retired or separated participants receiving benefits2022-01-01253
Number of other retired or separated participants entitled to future benefits2022-01-012,473
Total of all active and inactive participants2022-01-0145,221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-019
Total participants2022-01-0145,230
Number of participants with account balances2022-01-017,165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-01757
2019: GENTIVA 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-015,231
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: GENTIVA 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-015,009
Total number of active participants reported on line 7a of the Form 55002018-01-014,953
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01278
Total of all active and inactive participants2018-01-015,231
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-015,231
Number of participants with account balances2018-01-011,549
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-01148
2017: GENTIVA 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-014,850
Total number of active participants reported on line 7a of the Form 55002017-01-014,628
Number of retired or separated participants receiving benefits2017-01-019
Number of other retired or separated participants entitled to future benefits2017-01-01239
Total of all active and inactive participants2017-01-014,876
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-014,876
Number of participants with account balances2017-01-011,418
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-01146
2016: GENTIVA 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-014,251
Total number of active participants reported on line 7a of the Form 55002016-01-014,411
Number of retired or separated participants receiving benefits2016-01-0110
Number of other retired or separated participants entitled to future benefits2016-01-01305
Total of all active and inactive participants2016-01-014,726
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-014,726
Number of participants with account balances2016-01-011,420
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-01151
2015: GENTIVA 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-014,442
Total number of active participants reported on line 7a of the Form 55002015-01-013,889
Number of retired or separated participants receiving benefits2015-01-012
Number of other retired or separated participants entitled to future benefits2015-01-01253
Total of all active and inactive participants2015-01-014,144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-014,144
Number of participants with account balances2015-01-011,300
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-01101
2014: GENTIVA 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,087
Total number of active participants reported on line 7a of the Form 55002014-01-014,122
Number of retired or separated participants receiving benefits2014-01-013
Number of other retired or separated participants entitled to future benefits2014-01-01200
Total of all active and inactive participants2014-01-014,325
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-014,325
Number of participants with account balances2014-01-011,132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0146
2013: GENTIVA 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,155
Total number of active participants reported on line 7a of the Form 55002013-01-011,733
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-01354
Total of all active and inactive participants2013-01-012,087
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-012,087
Number of participants with account balances2013-01-01971
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-01155
2012: GENTIVA 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,136
Total number of active participants reported on line 7a of the Form 55002012-01-011,747
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-01331
Total of all active and inactive participants2012-01-012,078
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-012,078
Number of participants with account balances2012-01-011,025
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-01181
2011: GENTIVA 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-01489
Total number of active participants reported on line 7a of the Form 55002011-02-01517
Number of retired or separated participants receiving benefits2011-02-010
Number of other retired or separated participants entitled to future benefits2011-02-0179
Total of all active and inactive participants2011-02-01596
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-02-010
Total participants2011-02-01596
Number of participants with account balances2011-02-01407
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-02-0167

Financial Data on GENTIVA 401(K) PLAN

Measure Date Value
2022 : GENTIVA 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,575,684
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$102,243
Total income from all sources (including contributions)2022-12-31$-23,427,948
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$48,125,462
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$47,336,500
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$82,748,439
Value of total assets at end of year2022-12-31$530,604,571
Value of total assets at beginning of year2022-12-31$599,684,540
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$788,962
Total interest from all sources2022-12-31$387,503
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$8,185,124
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$8,185,124
Administrative expenses professional fees incurred2022-12-31$125,430
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$55,584,789
Participant contributions at end of year2022-12-31$8,380,744
Participant contributions at beginning of year2022-12-31$8,153,797
Participant contributions at end of year2022-12-31$269,211
Participant contributions at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$7,247,708
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$66,746
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$4,943
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$11,520
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$2,575,684
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$102,243
Administrative expenses (other) incurred2022-12-31$663,532
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-71,553,410
Value of net assets at end of year (total assets less liabilities)2022-12-31$528,028,887
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$599,582,297
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$147,673,334
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$196,317,180
Value of interest in pooled separate accounts at end of year2022-12-31$42,026,400
Value of interest in pooled separate accounts at beginning of year2022-12-31$34,306,468
Interest on participant loans2022-12-31$383,836
Value of interest in common/collective trusts at end of year2022-12-31$332,034,357
Value of interest in common/collective trusts at beginning of year2022-12-31$360,454,799
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$120,603
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$440,776
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$440,776
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$3,667
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-34,204,847
Net investment gain or loss from common/collective trusts2022-12-31$-80,544,167
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$19,915,942
Employer contributions (assets) at end of year2022-12-31$94,979
Employer contributions (assets) at beginning of year2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$47,269,754
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FORVIS, LLP
Accountancy firm EIN2022-12-31440160260
2019 : GENTIVA 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-01-28$0
Total transfer of assets from this plan2019-01-28$34,588,386
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-01-28$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-01-28$0
Total income from all sources (including contributions)2019-01-28$1,622,696
Total loss/gain on sale of assets2019-01-28$0
Total of all expenses incurred2019-01-28$427,927
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-01-28$395,538
Expenses. Certain deemed distributions of participant loans2019-01-28$0
Value of total corrective distributions2019-01-28$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-01-28$33,205
Value of total assets at end of year2019-01-28$0
Value of total assets at beginning of year2019-01-28$33,494,937
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-01-28$32,389
Total interest from all sources2019-01-28$-2,502
Total dividends received (eg from common stock, registered investment company shares)2019-01-28$3,549
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-01-28No
Total dividends received from registered investment company shares (eg mutual funds)2019-01-28$3,549
Administrative expenses professional fees incurred2019-01-28$0
Was this plan covered by a fidelity bond2019-01-28Yes
Value of fidelity bond cover2019-01-28$500,000
If this is an individual account plan, was there a blackout period2019-01-28No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-01-28$0
Funding deficiency by the employer to the plan for this plan year2019-01-28$0
Amount contributed by the employer to the plan for this plan year2019-01-28$0
Were there any nonexempt tranactions with any party-in-interest2019-01-28No
Contributions received from participants2019-01-28$0
Participant contributions at end of year2019-01-28$0
Participant contributions at beginning of year2019-01-28$1,011,609
Assets. Other investments not covered elsewhere at end of year2019-01-28$0
Assets. Other investments not covered elsewhere at beginning of year2019-01-28$0
Income. Received or receivable in cash from other sources (including rollovers)2019-01-28$33,463
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-01-28$0
Other income not declared elsewhere2019-01-28$0
Administrative expenses (other) incurred2019-01-28$147
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-01-28No
Value of net income/loss2019-01-28$1,194,769
Value of net assets at end of year (total assets less liabilities)2019-01-28$0
Value of net assets at beginning of year (total assets less liabilities)2019-01-28$33,494,937
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-01-28No
Were any loans by the plan or fixed income obligations due to the plan in default2019-01-28No
Were any leases to which the plan was party in default or uncollectible2019-01-28No
Investment advisory and management fees2019-01-28$30,792
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-01-28$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-01-28$31,015,331
Value of interest in pooled separate accounts at end of year2019-01-28$0
Value of interest in pooled separate accounts at beginning of year2019-01-28$0
Interest on participant loans2019-01-28$746
Interest earned on other investments2019-01-28$-3,248
Value of interest in common/collective trusts at end of year2019-01-28$0
Value of interest in common/collective trusts at beginning of year2019-01-28$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-01-28$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-01-28$1,467,997
Expenses. Payments to insurance carriers foe the provision of benefits2019-01-28$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-01-28$1,588,444
Net investment gain/loss from pooled separate accounts2019-01-28$0
Net investment gain or loss from common/collective trusts2019-01-28$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-01-28No
Was there a failure to transmit to the plan any participant contributions2019-01-28No
Has the plan failed to provide any benefit when due under the plan2019-01-28No
Assets. Invements in employer securities at end of year2019-01-28$0
Assets. Invements in employer securities at beginning of year2019-01-28$0
Contributions received in cash from employer2019-01-28$-258
Income. Dividends from common stock2019-01-28$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-01-28$395,538
Contract administrator fees2019-01-28$1,450
Did the plan have assets held for investment2019-01-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-01-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-01-28Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-01-28Yes
Opinion of an independent qualified public accountant for this plan2019-01-28Disclaimer
Accountancy firm name2019-01-28PRICEWATERHOUSECOOPERS LLP
Accountancy firm EIN2019-01-28134008324
2018 : GENTIVA 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$5,660,588
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$4,885,898
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$4,197,735
Expenses. Certain deemed distributions of participant loans2018-12-31$58,491
Value of total corrective distributions2018-12-31$400,464
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$7,500,167
Value of total assets at end of year2018-12-31$33,494,937
Value of total assets at beginning of year2018-12-31$32,720,247
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$229,208
Total interest from all sources2018-12-31$88,457
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,147,257
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$1,147,257
Administrative expenses professional fees incurred2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$5,177,574
Participant contributions at end of year2018-12-31$1,011,609
Participant contributions at beginning of year2018-12-31$848,948
Assets. Other investments not covered elsewhere at end of year2018-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$1,145,830
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$0
Other income not declared elsewhere2018-12-31$0
Administrative expenses (other) incurred2018-12-31$375
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$774,690
Value of net assets at end of year (total assets less liabilities)2018-12-31$33,494,937
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$32,720,247
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$189,440
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$31,015,331
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$30,745,563
Value of interest in pooled separate accounts at end of year2018-12-31$0
Value of interest in pooled separate accounts at beginning of year2018-12-31$0
Interest on participant loans2018-12-31$48,092
Interest earned on other investments2018-12-31$40,365
Value of interest in common/collective trusts at end of year2018-12-31$0
Value of interest in common/collective trusts at beginning of year2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$1,467,997
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$1,125,736
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-3,075,293
Net investment gain/loss from pooled separate accounts2018-12-31$0
Net investment gain or loss from common/collective trusts2018-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Assets. Invements in employer securities at end of year2018-12-31$0
Assets. Invements in employer securities at beginning of year2018-12-31$0
Contributions received in cash from employer2018-12-31$1,176,763
Income. Dividends from common stock2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$4,197,735
Contract administrator fees2018-12-31$39,393
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
2017 : GENTIVA 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$11,309,862
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$3,910,686
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$3,543,099
Expenses. Certain deemed distributions of participant loans2017-12-31$51,193
Value of total corrective distributions2017-12-31$102,396
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$6,850,750
Value of total assets at end of year2017-12-31$32,720,247
Value of total assets at beginning of year2017-12-31$25,321,071
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$213,998
Total interest from all sources2017-12-31$62,696
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$795,222
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$795,222
Administrative expenses professional fees incurred2017-12-31$21,652
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$4,707,496
Participant contributions at end of year2017-12-31$848,948
Participant contributions at beginning of year2017-12-31$700,313
Assets. Other investments not covered elsewhere at end of year2017-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$1,088,421
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$0
Other income not declared elsewhere2017-12-31$0
Administrative expenses (other) incurred2017-12-31$125
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$7,399,176
Value of net assets at end of year (total assets less liabilities)2017-12-31$32,720,247
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$25,321,071
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$149,918
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$30,745,563
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$23,768,575
Value of interest in pooled separate accounts at end of year2017-12-31$0
Value of interest in pooled separate accounts at beginning of year2017-12-31$0
Interest on participant loans2017-12-31$33,011
Interest earned on other investments2017-12-31$29,685
Value of interest in common/collective trusts at end of year2017-12-31$0
Value of interest in common/collective trusts at beginning of year2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,125,736
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$852,183
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$3,601,194
Net investment gain/loss from pooled separate accounts2017-12-31$0
Net investment gain or loss from common/collective trusts2017-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Assets. Invements in employer securities at end of year2017-12-31$0
Assets. Invements in employer securities at beginning of year2017-12-31$0
Contributions received in cash from employer2017-12-31$1,054,833
Income. Dividends from common stock2017-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$3,543,099
Contract administrator fees2017-12-31$42,303
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31E AND Y
Accountancy firm EIN2017-12-31346565596
2016 : GENTIVA 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$8,180,113
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$3,227,313
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$3,161,941
Expenses. Certain deemed distributions of participant loans2016-12-31$9,504
Value of total corrective distributions2016-12-31$22,109
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$6,536,136
Value of total assets at end of year2016-12-31$25,321,071
Value of total assets at beginning of year2016-12-31$20,368,271
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$33,759
Total interest from all sources2016-12-31$49,366
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,084,789
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$1,084,789
Administrative expenses professional fees incurred2016-12-31$0
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Funding deficiency by the employer to the plan for this plan year2016-12-31$0
Amount contributed by the employer to the plan for this plan year2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$4,384,334
Participant contributions at end of year2016-12-31$700,313
Participant contributions at beginning of year2016-12-31$582,551
Assets. Other investments not covered elsewhere at end of year2016-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$1,183,726
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$0
Other income not declared elsewhere2016-12-31$0
Administrative expenses (other) incurred2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$4,952,800
Value of net assets at end of year (total assets less liabilities)2016-12-31$25,321,071
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$20,368,271
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$23,768,575
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$19,118,214
Value of interest in pooled separate accounts at end of year2016-12-31$0
Value of interest in pooled separate accounts at beginning of year2016-12-31$0
Interest on participant loans2016-12-31$25,510
Interest earned on other investments2016-12-31$23,856
Value of interest in common/collective trusts at end of year2016-12-31$0
Value of interest in common/collective trusts at beginning of year2016-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$852,183
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$667,506
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$509,822
Net investment gain/loss from pooled separate accounts2016-12-31$0
Net investment gain or loss from common/collective trusts2016-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Assets. Invements in employer securities at end of year2016-12-31$0
Assets. Invements in employer securities at beginning of year2016-12-31$0
Contributions received in cash from employer2016-12-31$968,076
Income. Dividends from common stock2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$3,161,941
Contract administrator fees2016-12-31$33,759
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31E AND Y
Accountancy firm EIN2016-12-31346565596
2015 : GENTIVA 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$4,700,392
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$2,867,949
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,800,727
Expenses. Certain deemed distributions of participant loans2015-12-31$38,983
Value of total corrective distributions2015-12-31$431
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$4,885,587
Value of total assets at end of year2015-12-31$20,368,271
Value of total assets at beginning of year2015-12-31$18,535,828
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$27,808
Total interest from all sources2015-12-31$38,330
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$648,273
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$648,273
Administrative expenses professional fees incurred2015-12-31$0
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$265,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Funding deficiency by the employer to the plan for this plan year2015-12-31$0
Minimum employer required contribution for this plan year2015-12-31$0
Amount contributed by the employer to the plan for this plan year2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$3,801,436
Participant contributions at end of year2015-12-31$582,551
Participant contributions at beginning of year2015-12-31$479,350
Assets. Other investments not covered elsewhere at end of year2015-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$470,116
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$0
Other income not declared elsewhere2015-12-31$0
Administrative expenses (other) incurred2015-12-31$165
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,832,443
Value of net assets at end of year (total assets less liabilities)2015-12-31$20,368,271
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$18,535,828
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$19,118,214
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$17,417,393
Value of interest in pooled separate accounts at end of year2015-12-31$0
Value of interest in pooled separate accounts at beginning of year2015-12-31$0
Interest on participant loans2015-12-31$20,895
Interest earned on other investments2015-12-31$17,435
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of interest in common/collective trusts at beginning of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$667,506
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$639,085
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-871,798
Net investment gain/loss from pooled separate accounts2015-12-31$0
Net investment gain or loss from common/collective trusts2015-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Assets. Invements in employer securities at end of year2015-12-31$0
Assets. Invements in employer securities at beginning of year2015-12-31$0
Contributions received in cash from employer2015-12-31$614,035
Income. Dividends from common stock2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$2,800,727
Contract administrator fees2015-12-31$27,643
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31ERNST AND YOUNG LLP
Accountancy firm EIN2015-12-31346565596
2014 : GENTIVA 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$6,284,846
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,949,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,852,227
Expenses. Certain deemed distributions of participant loans2014-12-31$54,287
Value of total corrective distributions2014-12-31$14,980
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$5,165,326
Value of total assets at end of year2014-12-31$18,535,828
Value of total assets at beginning of year2014-12-31$14,200,097
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$27,621
Total interest from all sources2014-12-31$24,720
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$360,189
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$360,189
Administrative expenses professional fees incurred2014-12-31$0
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$265,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$2,635,207
Participant contributions at end of year2014-12-31$479,350
Participant contributions at beginning of year2014-12-31$352,232
Assets. Other investments not covered elsewhere at end of year2014-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$1,893,266
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$0
Other income not declared elsewhere2014-12-31$-5,031
Administrative expenses (other) incurred2014-12-31$520
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$4,335,731
Value of net assets at end of year (total assets less liabilities)2014-12-31$18,535,828
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$14,200,097
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$17,417,393
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$0
Value of interest in pooled separate accounts at end of year2014-12-31$0
Value of interest in pooled separate accounts at beginning of year2014-12-31$13,198,413
Interest on participant loans2014-12-31$16,313
Interest earned on other investments2014-12-31$8,407
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$639,085
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$649,452
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$676,301
Net investment gain/loss from pooled separate accounts2014-12-31$63,341
Net investment gain or loss from common/collective trusts2014-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Assets. Invements in employer securities at end of year2014-12-31$0
Assets. Invements in employer securities at beginning of year2014-12-31$0
Contributions received in cash from employer2014-12-31$636,853
Income. Dividends from common stock2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,852,227
Contract administrator fees2014-12-31$27,101
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31ERNST AND YOUNG, LLP
Accountancy firm EIN2014-12-31346565596
2013 : GENTIVA 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$5,984,322
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$2,067,465
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,980,145
Expenses. Certain deemed distributions of participant loans2013-12-31$15,255
Value of total corrective distributions2013-12-31$26,539
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$3,470,679
Value of total assets at end of year2013-12-31$14,200,097
Value of total assets at beginning of year2013-12-31$10,283,240
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$45,526
Total interest from all sources2013-12-31$28,036
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$265,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$2,260,208
Participant contributions at end of year2013-12-31$352,232
Participant contributions at beginning of year2013-12-31$255,100
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$353,231
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$3,916,857
Value of net assets at end of year (total assets less liabilities)2013-12-31$14,200,097
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$10,283,240
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$202,265
Value of interest in pooled separate accounts at end of year2013-12-31$13,198,413
Value of interest in pooled separate accounts at beginning of year2013-12-31$9,350,811
Interest on participant loans2013-12-31$13,326
Interest earned on other investments2013-12-31$14,710
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$649,452
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$475,064
Net investment gain/loss from pooled separate accounts2013-12-31$2,485,607
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$857,240
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,980,145
Contract administrator fees2013-12-31$45,526
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31ERNST & YOUNG, LLP
Accountancy firm EIN2013-12-31346565596
2012 : GENTIVA 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total transfer of assets to this plan2012-12-31$4,500,879
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$5,728,053
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,240,938
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,172,360
Expenses. Certain deemed distributions of participant loans2012-12-31$15,543
Value of total corrective distributions2012-12-31$11,027
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$4,898,708
Value of total assets at end of year2012-12-31$10,283,240
Value of total assets at beginning of year2012-12-31$1,295,246
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$42,008
Total interest from all sources2012-12-31$12,868
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$265,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$2,150,258
Participant contributions at end of year2012-12-31$255,100
Participant contributions at beginning of year2012-12-31$10,991
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$1,856,857
Other income not declared elsewhere2012-12-31$145
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$4,487,115
Value of net assets at end of year (total assets less liabilities)2012-12-31$10,283,240
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,295,246
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$202,265
Value of interest in pooled separate accounts at end of year2012-12-31$9,350,811
Value of interest in pooled separate accounts at beginning of year2012-12-31$1,267,439
Interest on participant loans2012-12-31$6,856
Interest earned on other investments2012-12-31$6,012
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$475,064
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$16,816
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$5,169
Net investment gain/loss from pooled separate accounts2012-12-31$811,163
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$891,593
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,172,360
Contract administrator fees2012-12-31$42,008
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31ERNST & YOUNG
Accountancy firm EIN2012-12-31346565596
2011 : GENTIVA 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$1,330,842
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$35,596
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$30,278
Value of total corrective distributions2011-12-31$2,146
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,364,952
Value of total assets at end of year2011-12-31$1,295,246
Value of total assets at beginning of year2011-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$3,172
Total interest from all sources2011-12-31$77
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$873,956
Participant contributions at end of year2011-12-31$10,991
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$125,293
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$1,295,246
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,295,246
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$1,267,439
Interest on participant loans2011-12-31$7
Interest earned on other investments2011-12-31$70
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$16,816
Net investment gain/loss from pooled separate accounts2011-12-31$-34,187
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$365,703
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$30,278
Contract administrator fees2011-12-31$3,172
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31ERNST & YOUNG
Accountancy firm EIN2011-12-31346565596

Form 5500 Responses for GENTIVA 401(K) PLAN

2022: GENTIVA 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2019: GENTIVA 401(K) PLAN 2019 form 5500 responses
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: GENTIVA 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: GENTIVA 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: GENTIVA 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: GENTIVA 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: GENTIVA 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: GENTIVA 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: GENTIVA 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: GENTIVA 401(K) PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01First time form 5500 has been submittedYes
2011-02-01Submission has been amendedNo
2011-02-01This submission is the final filingNo
2011-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2011-02-01Plan is a collectively bargained planNo
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan funding arrangement – TrustYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number21097
Policy instance 1
Insurance contract or identification number21097
Number of Individuals Covered45230
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 61232
Policy instance 1
Insurance contract or identification numberMR 61232
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-01-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 61232
Policy instance 1
Insurance contract or identification numberMR 61232
Number of Individuals Covered5231
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 61232
Policy instance 1
Insurance contract or identification numberMR 61232
Number of Individuals Covered4876
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 61232
Policy instance 1
Insurance contract or identification numberMR 61232
Number of Individuals Covered4144
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 61232
Policy instance 1
Insurance contract or identification numberMR 61232
Number of Individuals Covered4325
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number67633
Policy instance 2
Insurance contract or identification number67633
Insurance policy start date2014-01-01
Insurance policy end date2014-01-21
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number67633
Policy instance 1
Insurance contract or identification number67633
Number of Individuals Covered2087
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number67633
Policy instance 1
Insurance contract or identification number67633
Number of Individuals Covered2078
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number67633
Policy instance 1
Insurance contract or identification number67633
Number of Individuals Covered568
Insurance policy start date2011-02-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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